Evidence map›Paper›PMID 26147803›Full record

ArticlePloS one2015

Colorectal Cancer Screening in Switzerland: Cross-Sectional Trends (2007-2012) in Socioeconomic Disparities.

Stacey A Fedewa, Stéphane Cullati, Christine Bouchardy, Ida Welle, Claudine Burton-Jeangros, Orly Manor, Delphine S Courvoisier, Idris Guessous

Registry-linked trialOpen access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03552744 (Colorectal Cancer Testing in Swiss Primary Care), which is not on this map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
2.2field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03552744 nacompletednot on this mapstarted 2018, after this paper: background citation

Colorectal Cancer Testing in Swiss Primary Care: A Cluster Randomized Controlled Trial Among Primary Care Physicians of the Swiss Sentinel Surveillance Network

TypeinterventionalSponsorUniversity of BernRan2018 to 2019Enrolled109ConditionsColorectal CancerArmsMailed training intervention
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 49 citations in OpenAlex.

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  16. Experience with a colorectal cancer campaign in Swiss pharmacies.International journal of clinical pharmacy · 2019
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 3 countries.

Stacey A FedewaEmory University, Department of Epidemiology, Atlanta, GA, United States of America; American Cancer Society, Atlanta, GA, United States of America.
Stéphane CullatiUnit of population epidemiology, Department of Community Medicine, Primary Care and Emergency Medicine, University Hospitals of Geneva, Geneva, Switzerland.
Christine BouchardyGeneva Cancer Registry, Global Health Institute, University of Geneva, Geneva, Switzerland.
Ida WelleInstitute of Social and Preventive Medicine, Lausanne University Hospital, Lausanne, Switzerland.
Claudine Burton-JeangrosDepartment of Sociology, University of Geneva, Geneva, Switzerland.
Orly ManorUnit of population epidemiology, Department of Community Medicine, Primary Care and Emergency Medicine, University Hospitals of Geneva, Geneva, Switzerland; School of Public Health and Community Medicine, Hebrew University-Hadassah, Jerusalem, Israel.
Delphine S CourvoisierDivision of Clinical Epidemiology, University Hospitals of Geneva, Geneva, Switzerland.
Idris GuessousEmory University, Department of Epidemiology, Atlanta, GA, United States of America; Unit of population epidemiology, Department of Community Medicine, Primary Care and Emergency Medicine, University Hospitals of Geneva, Geneva, Switzerland; Division of Chronic Disease, University Institute of Social and Preventive Medicine, Lausanne University Hospital, Lausanne, Switzerland.
University Hospital of Geneva · CHInstitute of Social and Preventive Medicine · CHUniversity of Geneva · CHAmerican Cancer Society · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite universal health care coverage, disparities in colorectal cancer (CRC) screening by income in Switzerland have been reported. However, it is not known if these disparities have changed over time. This study examines the association between socioeconomic position and CRC screening in Switzerland between 2007 and 2012.

methodsData from the 2007 (n = 5,946) and 2012 (n = 7,224) population-based Swiss Health Interview Survey data (SHIS) were used to evaluate the association between monthly household income, education, and employment with CRC screening, defined as endoscopy in the past 10 years or fecal occult blood test (FOBT) in the past 2 years. Multivariable Poisson regression was used to estimate prevalence ratios (PR) and 95% Confidence Intervals (CI) adjusting for demographics, health status, and health utilization.

resultsCRC screening increased from 18.9% in 2007 to 22.2% in 2012 (padjusted: = 0.036). During the corresponding time period, endoscopy increased (8.2% vs. 15.0%, padjusted:<0.001) and FOBT decreased (13.0% vs. 9.8%, padjusted:0.002). CRC screening prevalence was greater in the highest income (>$6,000) vs. lowest income (≤$2,000) group in 2007 (24.5% vs. 10.5%, PR:1.37, 95%CI: 0.96-1.96) and in 2012 (28.6% vs. 16.0%, PR:1.45, 95%CI: 1.09-1.92); this disparity did not significantly change over time.

conclusionsWhile CRC screening prevalence in Switzerland increased from 2007 to 2012, CRC screening coverage remains low and disparities in CRC screening by income persisted over time. These findings highlight the need for increased access to CRC screening as well as enhanced awareness of the benefits of CRC screening in the Swiss population, particularly among low-income residents.

Indexed as

Healthcare DisparitiesSocial ClassColorectal NeoplasmsCross-Sectional StudiesHumansSwitzerland

Identifiers

PMID26147803
PMCPMC4492507
OpenAlexW1584406711

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.